Individual
MR. THOMAS FREDERICK ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
149 BEACH 118TH ST, THIRD FLOOR, ROCKAWAY PARK, NY 11694-2034
(917) 375-4643
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
009704
NY
363AS0400X
Surgical Physician Assistant
Primary
009704
NY
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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